NPIMap

Organization Active NPI

Leisure Healthcare LLC

  • Skilled Nursing Facility
  • Glendale, CA
National Provider Identifier
1003540329
Registry record updated Jul 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
LEISURE HEALTHCARE LLC
Practice address
330 Mission Rd
Glendale, CA 91205-3328
Phone
(818) 247-4476
NPI assigned
Jul 12, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jay Gewirtz
Title
Cfo
Phone
(818) 247-4476

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

330 Mission Rd
Glendale, CA 91205-3328

Mailing address

6442 Coldwater Canyon Ave Ste 100
North Hollywood, CA 91606-1191

Other names 1

  • LEISURE GLEN POST ACUTE CARE CENTER Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220823001581 CA Part A Provider - Skilled Nursing Facility 7214310390 Practice locations: Glendale, CA

Skilled nursing facility certification: CCN 055845

Legal name
LEISURE HEALTHCARE, LLC
Doing business as
LEISURE GLEN POST ACUTE CARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Oct 20, 1967
Last certification
Jun 13, 2024
Beds
108
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Leisure Healthcare LLC
Organization structure
LLCProprietary
Incorporated
Jun 28, 2022 in CA
Enrollment address
330 Mission Road
Glendale, CA 91205-3328
Nursing home name
LEISURE GLEN POST ACUTE CARE CENTER
Affiliated entity
ABRAHAM BAK & MENACHEM GASTWIRTH

Care Compare: Nursing home

Medicare Care Compare
Listed as
Leisure Glen Post Acute Care CenterCCN 055845
Overall star rating
4 of 5
Health inspections
4 of 5
Staffing
4 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Oct 20, 1967
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
108111.7 residents per day on average
Chain
Abraham Bak & Menachem Gastwirth18 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0556903Leisure Glen Post Acute Care Center330 Mission Road, Glendale, CA 91205Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 14

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Chonoch Gewirtz Individual 5% Or Greater Direct Ownership Interest Jun 28, 2022 5%
Adp of the SNF Jun 28, 2022
Mgaz Consulting LLC Organization, North Hollywood, CA LLC, Consulting firm, For-profit Adp of the SNF Jun 30, 2022
Abe and Rachel Bak Family Trust Organization, North Hollywood, CA Adp of the SNF Jun 30, 2022
Glen Holdings, LLC Organization, North Hollywood, CA Holding company, For-profit Adp of the SNF Jun 30, 2022
Rachel Deena Bak Individual Adp of the SNF Jun 30, 2022
Bagz Holdings, LLC Organization, North Hollywood, CA LLC, Holding company, For-profit Adp of the SNF Jun 30, 2022
Kenneth Lehmann Individual 5% Or Greater Direct Ownership InterestOwner/Manager/Member Jun 28, 2022 31.67%
Adp of the SNF Jun 28, 2022
Mary Arutyunyan Individual Operational/Managerial ControlAdministrator May 3, 2018
Adp of the SNF Apr 22, 2025
Abraham Bak Individual 5% Or Greater Direct Ownership InterestOwner/Manager/Member/Trustee Jun 28, 2022 31.66%
Corporate OfficerManager Aug 1, 2022 100%
Operational/Managerial ControlManager Jun 28, 2022 100%
Adp of the SNF Jun 10, 2022
Abak Consulting LLC Organization, North Hollywood, CA LLC, Consulting firm, For-profit Adp of the SNF Jun 30, 2022
Aaron Moas Individual Adp of the SNF Jun 30, 2022
Garo M Karakashian Individual Operational/Managerial Control Jul 5, 2023
Adp of the SNF Jul 5, 2023
330 Mission Road, LLC Organization, North Hollywood, CA LLC, For-profit Adp of the SNF Jun 30, 2022
Menachem Gastwirth Individual 5% Or Greater Direct Ownership InterestOwner/Manager/Member Jun 28, 2022 31.66%
Operational/Managerial Control Jun 28, 2022
Adp of the SNF Jun 28, 2022

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Affiliated clinicians 15

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 15

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1657584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657584000000",
    "number": "1003540329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6442 COLDWATER CANYON AVE STE 100",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916061191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 MISSION RD",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912053328",
            "telephone_number": "818-247-4476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEISURE HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-12",
        "last_updated": "2022-07-12",
        "certification_date": "2022-07-12",
        "status": "A",
        "authorized_official_last_name": "GEWIRTZ",
        "authorized_official_first_name": "JAY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "818-247-4476"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LEISURE GLEN POST ACUTE CARE CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Glendale, CA

Sources for this page

Verify at the official NPI Registry.